S46.391A
S46.391A — Other injury of muscle, fascia and tendon of triceps, right arm, initial encounter
Billable / specific codeICD-10-CMright
S46.391A is a billable, specific ICD-10-CM code for other injury of muscle, fascia and tendon of triceps, right arm, initial encounter. It is valid for submission on a claim.
7th character "A" — initial encounter
The appropriate 7th character is to be added to each code from category S46
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S46.391A does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
S46.391A is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53058Billing and Coding: Home Health Physical Therapy
Related codes at this level
Codes that share S46.391. If S46.391A is not quite right, the correct code is usually one of these.
Questions about S46.391A
- Is S46.391A a billable ICD-10-CM code?
- Yes. S46.391A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S46.391A sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the shoulder and upper arm (S40-S49).